Document Detail


Use of skeletonized radial artery graft with the PAS-Port proximal anastomotic device.
MedLine Citation:
PMID:  19463618     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: We report our initial experience with the PAS-Port proximal anastomosis system (Cardica Inc, Redwood City, CA) using full-skeletonized radial artery (RA) in patients requiring off-pump coronary artery bypass grafting. DESCRIPTION: The PAS-Port system (Cardica Inc) was used in 25 patients undergoing off-pump coronary artery bypass surgery. All patients received at least one RA graft using the PAS-Port system on the proximal anastomosis. The radial arteries were harvested in a fully skeletonized fashion before loading to the PAS-Port system. EVALUATION: Our attempt to use the PAS-Port system for proximal anastomosis of the RA was successful in 25 anastomoses. Postoperative angiography showed 24 grafts to be widely patent. During the mean postoperative follow-up of 9.2 +/- 3.1 months, there was no cardiac-related event in any patient. Mid-term patency collected from the first 8 patients was 87.5% (mean follow-up, 12.8 +/- 2.8 months). CONCLUSIONS: The PAS-Port system does not require aortic clamping and enables the creation of uniform and widely patent anastomosis with use of RA grafts.
Authors:
Shohjiro Yamaguchi; Go Watanabe; Shigeyuki Tomita; Hiroshi Ohtake; Hiroshi Nagamine; Kenji Iino
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  87     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-25     Completed Date:  2009-06-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1910-3     Citation Subset:  AIM; IM    
Affiliation:
Department of General and Cardiothoracic Surgery, Kanazawa University School of Medicine, Kanazawa, Japan. gucci-s@ya2.so-net.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Anastomosis, Surgical / instrumentation,  methods
Coronary Artery Bypass, Off-Pump*
Equipment Design
Female
Humans
Male
Middle Aged
Radial Artery / transplantation*
Vascular Surgical Procedures

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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